APHA Issues a Statement Regarding the Graham-Cassidy Proposal

Date: Sep 25 2017

Joint Statement from American Public Health Association, Prevention Institute, Public Health Institute, and Trust for America’s Health

Media Contacts: Albert Lang, 202-864-5941, Laura Segal, 202-223-2592 and David Fouse, 202-777-2501

Washington, D.C., Sept. 25, 2017 — Below is a statement from American Public Health Association, Prevention Institute, Public Health Institute, and Trust for America’s Health on Graham-Cassidy, which would cause millions to lose health care coverage, decrease access to clinical preventive services and eliminate the Prevention and Public Health Fund.

“Graham-Cassidy would do untold damage to the nation’s health, unraveling the progress we’ve made to expand access to quality, affordable health care, reorient our health care system to value prevention and equity, and invest in a healthier future for all Americans.

Graham-Cassidy upends efforts to improve the nation’s health in the future by threatening to strip people of access to preventive care and zeroing out the Prevention and Public Health Fund. Over the next five years alone, states and communities stand to lose more than $3 billion in funding to prevent chronic disease, stop the spread of infectious diseases, and invest in resources that support health and equity. The Prevention and Public Health Fund also provides 12 percent of the Centers for Disease Control and Prevention’s annual budget. Losing this much funding — about $900 million a year — would irreparably damage our public health infrastructure, including our ability to respond to disasters and emerging epidemics. These short-term cuts will lead to more chronic conditions and exact a heavy burden of preventable illness and death — as well as higher healthcare expenditures for worse health outcomes — down the line.

Investing in public health makes the difference between health and illness, safety and injury, and life and death. The deep cuts this bill proposes – to Medicaid, to public health and prevention – would touch every community, especially those communities that are struggling most with longstanding inequities in health and safety. Passing Graham-Cassidy is tantamount to legislative malpractice. The undersigned groups find this approach unacceptable and strongly urge Congress to work in a bipartisan manner to improve the nation’s public health and health care systems.”


2016 Year In Review

Dear Colleagues and Friends,

We are pleased to share with you our 2016 Year In Review via the following link.   Its intent is to update you on activities during the prior year, and to engage you in upcoming projects and activities.  We focus on key areas: our programs, our collaborations, our interns, and our publication – the Delaware Journal of Public Health.
As always, we deeply appreciate your engagement in, and support of, the Delaware Academy of Medicine / Delaware Public Health Association.
Please reach out to us with any feedback and suggestions you may have.

Statement on Vaccines

Vaccines Continue to be Tested and Proven Safe

American Academy of Pediatrics. (2017). American Academy of Pediatrics Emphasizes Safety and Importance of Vaccines. Retrieved from https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/American-Academy-of-Pediatrics-Emphasizes-Safety-and-Importance-of-Vaccines.aspx

Centers for Disease Control and Prevention. (2016). Infant Immunizations FAQs. Retrieved from https://www.cdc.gov/vaccines/parents/parent-questions.html

Institute of Medicine. (2004). Immunization Safety Review: Vaccines and Autism. Retrieved from https://www.nap.edu/catalog/10997/immunization-safety-review-vaccines-and-autism

U.S. Food and Drug Administration. (2015).  Thimerosal in Vaccines: Questions and Answers. Retrieved from http://www.fda.gov/BiologicsBloodVaccines/Vaccines/QuestionsaboutVaccines/UCM070430#q5

In light of recent claims by politicians or appointees that vaccines are linked to autism, or are unsafe when administered according to the recommended schedule, or contain dangerous products like Thimerosal, the public health community and the Delaware Academy of Medicine/Delaware Public Health Association continue to come down on the side of science.

The Food and Drug Administration (FDA) Center for Biologics Evaluation and Research is responsible for regulating vaccines in the United States.  Before a vaccine can be licensed for public use, it must be tested for safety in the laboratory, in animals, and in human clinical trials.  Human clinical trials include looking for common adverse events in a few participants (phase 1), several hundred volunteers looking for local reactions and general side effects like fever (phase 2), and establishing the effectiveness of the vaccine and determining less common side effects with thousands of participants (phase 3).  If a vaccine is to be given at the same time as another vaccine, the two vaccines are tested together (FDA, 2015).  If a dangerous effect is found, that vaccine is not licensed for public use.

Vaccines are continuously monitored following licensure by the Vaccine Adverse Event Reporting System (VAERS), which is run by both the FDA and the Centers for Disease Control (CDC).  The VAERS is a national system that collects all reports of adverse events following vaccination.  Phase 4 clinical studies are also conducted to further evaluate the new vaccine, and population based studies are conducted through the use of databases like the Vaccine Safety Datalink (VSD) for the lifetime of the use of the vaccine (FDA, 2015).

The Institute of Medicine (IOM) Immunization Safety Review Committee “favors rejection of a causal relationship between thimerosal-containing vaccines and autism” (IOM, 2004).  Despite this finding, “all vaccines routinely recommended for children 6 years of age or younger and marketed in the U.S. contain no thimerosal or only trace amounts” (FDA, 2015).

“Infants and young children who follow immunization schedules that spread out shots – or leave out shots – are at risk of developing diseases during the time that shots are delayed” (CDC, 2016). Vaccines “keep communities healthy, and protect some of the most vulnerable in our society” (American Academy of Pediatrics, 2017).  The Delaware Academy of Medicine will continue to advocate for vaccines and vaccine use in the state of Delaware and the United States.

New Safe Healthcare Blog from Sepsis Alliance

Download the Conversation Starter and Pocket Guides today!

Get Ahead of Sepsis has released new materials to help patients and healthcare professionals act fast if sepsis is suspected:

  1. Conversation Starter for Patients: Questions and answers to use with your doctor or nurse.
  2. Pocket Guides for Healthcare Professionals: Critical information about recognizing and treating sepsis early and preventing infections that can lead to sepsis.

Download these materials and learn more about sepsis awareness and education in a new CDC Safe Healthcare Blog by Marijke Vroomen Durning, Sepsis Alliance. Sepsis Alliance is the largest sepsis advocacy organization in the U.S. working in all 50 states to save lives and reduce suffering from sepsis.

October Awareness

October is…

Down Syndrome Awareness Month – http://www.ndss.org/about-ndss/our-team/ambassadors/goodwill-ambassador/straight-talk-with-chris-burke/down-syndrome-awareness-month/
Eye Injury Prevention Month – https://www.consumerhealthdigest.com/health-awareness/eye-injury-prevention-month.html
National AIDS Awareness Month – https://nationaldaycalendar.com/aids-awareness-month-october/
National Breast Cancer Awareness Month – http://www.nationalbreastcancer.org/breast-cancer-awareness-month
National Dental Hygeine Month – http://www.adha.org/national-dental-hygiene-month
National Domestic Violence Awareness Month – http://nnedv.org/getinvolved/dvam.html
National Healthy Lungs Month – https://www.healthstatus.com/health_blog/copd/healthy-lung-month/
National Liver Cancer Awareness Month – https://www.aacrfoundation.org/Pages/liver-cancer-awareness-month.aspx
National Medical Librarians Month – https://www.personalizedcause.com/health-awareness-cause-calendar/national-medical-librarians-month
National Physical Therapy Month – http://www.moveforwardpt.com/NPTM/Default.aspx
National Spinal Health Month – https://www.acatoday.org/Education-Events/National-Chiropractic-Health-Month
Rett Syndrome Awareness Month – https://www.rettsyndrome.org/make-a-difference/advocacy-awareness/state-proclamations
Sudden Infant Death Syndrome (SIDS) Awareness Month – https://www.nichd.nih.gov/news/resources/spotlight/Pages/102014-october-SIDS.aspx
Talk About Prescriptions Month – http://www.bemedwise.org/

The week of…

1 – 7: Mental Illness Awareness Week – https://www.nami.org/Get-Involved/Awareness-Events/Mental-Illness-Awareness-Week
8 – 14: Fire Prevention Week – http://www.nfpa.org/public-education/campaigns/fire-prevention-week-2
9 – 13: National School Lunch Week – https://schoolnutrition.org/Meetings/Events/NSLW/2017/
12 – 20: Bone and Joint Decade National Action Week – https://www.usbji.org/programs/public-education-programs/action-week
15 – 21: International Infection Prevention Week – http://professionals.site.apic.org/iipw/
15 – 21: National Health Education Week – https://www.sophe.org/focus-areas/national-health-education-week/
15 – 21: National Health Care Quality Week – http://nahq.org/about/healthcare-quality-week
16 – 21: National Drug Free Work Week – http://www.ndwa.org/resources/national-drug-free-work-week/
23 – 31: Red Ribbon Week (Drug Free America) – http://redribbon.org/theme/
22 – 28: National Respiratory Care Week – http://www.aarc.org/resources/programs-projects/respiratory-care-week/

The day of…

Oct 2nd: National Child Health Day – https://nationaldaycalendar.com/national-child-health-day-first-monday-in-october/
Oct 7th: National Depression Screening Day – https://mentalhealthscreening.org/programs/initiatives
Oct 10th: World Mental Health Day – https://www.wfmh.global/wmhd-2017/
Oct 13th: Metastatic Breast Cancer Awareness Day – http://www.mbcn.org/october-13-national-metastatic-breast-cancer-awareness-day/
Oct 15th: National Latinx AIDS Awareness Day – https://www.hiv.gov/events/awareness-days/latino
Oct 16th: World Food Day – http://www.fao.org/world-food-day/2017/home/en/
Oct 20th: World Osteoporosis Day – http://worldosteoporosisday.org/
Oct 20nd: National Mammography Day – https://nationaldaycalendar.com/national-mammography-day-third-friday-in-october/
Oct 22nd: International Stuttering Awareness Day – http://www.isastutter.org/what-we-do/isad
Oct 31st: Halloween

2017 Public Health Preparedness Symposium

Wednesday, November 8, 2017
9:00 am – 3:30 pm ET
(Registration begins at 8:30 am)

Delaware Technical Community College, Terry Campus
Education and Training Building – Room 727
100 Campus Drive
Dover, DE 19904

The Symposium will feature breakout sessions on Violent Intruder Preparedness & Response (VIPR), Delaware OneHealth Initiative, Access & Functional Needs

Keynote speaker: Mary Carlson, Director of Prepredness, Emergency Management and Corporate Security for Amtrak.

Noteworthy speaker: Elias Kontanis, Chief, National Transportation Safety Board, Transportation Disaster Assistance Division.  

More information can be found here.

CDC Public Health Grand Rounds

Global Prevention of Neural Tube Defects

Tuesday, October 17, 2017 at 1:00 pm ET
The session will be live webcast from CDC headquarters in Atlanta, GA.
Click here for the live webcast. Session will be archived 3-4 days after the presentation.

Presented by:

Krista Crider, PhD – “Birth Defects COUNT Global Initiative”
Geneticist, Prevention Research and Translation Branch
Division of Congenital and Developmental Disorders
National Center on Birth Defects and Developmental Disabilities
Centers for Disease Control and Prevention

Scott Montgomery – “Fortifying Grains with Folic Acid to Prevent Neural Tube Defects: Success and Opportunities”
Director, Food Fortification Initiative (FFI)

Erin Smith, MPH – “Maize Fortification with Small and Medium Scale Processors in Tanzania”
Country Director, Helen Keller International, Tanzania

Neena Raina, PhD – “Birth Defects Surveillance and Prevention in South-East Asia: A Way Forward”
Coordinator, Health Through the Life Course
South-East Asia Regional Office for WHO (WHO-SEARO)

Innovative Discoveries Series

Using Cancer Registry and Behavioral Risk Factor Survey Data to Describe the Burden of Cancer in Delaware

Presented by
Zeinab Baba, MS, DrPH
Cancer Epidemiologist, Comprehensive Cancer Control Program
Delaware Department of Health & Social Services

National rankings in 2008 – 2012 placed Delaware second in the nation for cancer incidence and 14th in the nation for cancer mortality.  For cancer control and prevention efforts in Delaware it is important to understand not only incidence and mortality trends, but also behavioral factors which contribute to cancer risk.

Free!  Lunch will be served!



Friday, October 20, 2017
Noon to 1 p.m.
In-person: Christiana Hospital, Room 1E80
Online: Watch live at https://bluejeans.com/361095905
Or join meeting ID 361095905 on the BlueJeans app on your smartphone or tablet

This activity has been approved for AMA PRA Category 1 Credit.

Upcoming Lectures:

Oct 27: The importance of Health and eHealth Literacy

Patient-Centered Engagement Project around Chronic Kidney Disease


The Academy/DPHA is partnering with the Christiana Care Value Institute to engage patients (and their support networks) who have Chronic Kidney Disease, End-stage Renal Failure, Nephrotic Syndrome, and who have had kidney transplants. More than 20 million people over the age of 20 in the U.S. have Chronic Kidney Disease (CKD). Because CKD patients have multiple comorbid conditions, they see numerous healthcare providers. Poor communication between physicians as well as different electronic health records systems can create fragmented patient care, resulting in suboptimal clinical outcomes. Development of a CKD registry in Delaware will join electronic health records of multiple sources to improve coordination of care. A team of patients, clinicians, and researchers are collaborating to gather information and facilitate Patient-Centered Outcomes Research (PCOR) based on the CKD registry.